克拉米迪亚和淋病产前查的可接受性,可行性,公平性和资源使用:系统性审查
Shamila Shanmugasegaram1, Ulrick Auguste1, Annie Fleurant-Ceelen1
1Centre for Communicable Diseases and Infection Control, Public Health Agency of Canada, Ottawa, ON.
概括
孕妇和提供者可以接受对克拉米迪亚虫 (CT) 和尼塞利亚淋病 (NG) 的产前查. 全民CT查是具有成本效益的,尽管在获取上存在不平等.
科学领域:
- 公共卫生 公共卫生
- 预防传染病 预防传染病
- 孕产妇健康 孕产妇健康
背景情况:
- 为更新加拿大公共卫生局关于产前查的建议进行了系统审查.
- 专注于克拉米迪亚甲状腺炎 (CT) 和尼塞利亚淋病 (NG) 查的可接受性,可行性,公平性和资源使用.
研究的目的:
- 评估孕妇CT和NG产前查的证据基础.
- 为更新的国家查方案指南提供信息.
主要方法:
- 在MEDLINE,Embase和Cochrane CENTRAL (2003-2021) 的综合文献搜索.
- 包括观察性研究和经济评估,评估选的可接受性,可行性,公平性和资源使用.
- 使用非随机化研究和叙事合成的偏差风险评估工具进行质量评估.
主要成果:
- 九项观察性研究和三项经济评估符合纳入标准.
- 在孕妇和医疗保健提供者中,查的普遍接受度很高;对非侵入性方法的偏好.
- 全面CT查显示净成本节省;有针对性的查可能会错过病例.
- 在某些人群的查可行性和可访问性方面发现了不平等.
结论:
- 对CT和NG的产前查是可以接受和可行的.
- 对CT的普遍查具有成本效益,并建议采用有针对性的方法.
- 调查结果为加拿大公共卫生局的最新建议提供了信息,并在全国会议上提出了这些建议.
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